| Living and Balance Wellness Center LLC | |
|
736 N Country Club Dr Ste 102 Mesa AZ 85201-4981 | |
| (602) 314-6312 | |
| Not Available |
| Full Name | Living and Balance Wellness Center LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 736 N Country Club Dr Ste 102, Mesa, Arizona |
| Authorized Official Name and Position | Marie Davis (CEO) |
| Authorized Official Contact | 6024035160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living and Balance Wellness Center LLC 736 N Country Club Dr Ste 102 Mesa AZ 85201-4981 | Living and Balance Wellness Center LLC 736 N Country Club Dr Ste 102 Mesa AZ 85201-4981 Ph: (602) 314-6312 |
| NPI Number | 1043140775 |
|---|---|
| Provider Enumeration Date | 05/22/2026 |
| Last Update Date | 05/22/2026 |
| Certification Date | 05/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043140775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Secondary |
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